Jellal Chaymaa, Kabila Badr, Mesbah Oumaima, Beqqali Basma, Badri Bouchra, Reguig Nezha, Khmou Mouna, Aharmim Mohammed, Bourkadi Jamal Eddine, El Khannoussi Basma, Omor Youssef, Latib Rachida, Amalik Sanae
Pneumology Department, Moulay Youssef Hospital - Ibn Sina University Hospital, Rabat, Morocco.
Department of Radiology, National Institute of Oncology, UHC Ibn Sina, Mohamed V University, Rabat, Morocco.
Radiol Case Rep. 2024 Oct 19;20(1):182-186. doi: 10.1016/j.radcr.2024.09.020. eCollection 2025 Jan.
Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It constitutes a public health problem, especially in developing countries. Pelvic localization is rare with tubal involvement being the most frequent. It presents clinically, radiologically, and biologically as an ovarian tumor. We report the case of a patient who presented to the emergency department with pelvic pain, an abdominal-pelvic mass, and a general state of deterioration. The patient had a high CA125 level, and imaging initially suggested a neoplastic origin. She underwent laparoscopy with histopathological examination, confirming the diagnosis of tuberculosis, showing giant cell granulomas with caseous necrosis. A favorable outcome was observed on all fronts after antitubercular treatment.
结核病是由结核分枝杆菌引起的一种传染病。它构成了一个公共卫生问题，尤其是在发展中国家。盆腔结核较为罕见，其中输卵管受累最为常见。其在临床、放射学和生物学上表现为卵巢肿瘤。我们报告了一例患者，该患者因盆腔疼痛、腹盆腔肿块及全身状况恶化就诊于急诊科。患者CA125水平升高，影像学检查最初提示肿瘤性病变。她接受了腹腔镜检查及组织病理学检查，确诊为结核病，可见伴有干酪样坏死的巨细胞肉芽肿。抗结核治疗后各方面均观察到良好疗效。
